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2917 PANAVIEW BLVD 2016-01-01 MF Import
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2917 PANAVIEW BLVD 2016-01-01 MF Import
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Last modified
2/24/2017 10:41:40 AM
Creation date
2/24/2017 10:41:32 AM
Metadata
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Template:
Address Document
Street Name
PANAVIEW BLVD
Street Number
2917
Imported From Microfiche
Yes
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,. __.____ .�_____._..__w.. <br /> -= _ ._ . _ ._.. . .- --- --- --- . __ .. _ . _..____�__ <br /> • Z APPUCATION FOR HIGHT•OF•WAY,U$E PERMIT q '� `� <br /> � : - evrren 10 9�.3 <br /> � „ . .., .. <br /> � CITY ENGINEERS ' pEflMIT N0. ��7 �"�'"S� <br /> ; EVERETT,WASHINGTON <br /> j. The Undersigned C u/A[�AL Ll CriNE — <br /> � <br /> .I� Hereby epplies for permission to �'��/5>�[�c'f A Z � f�5YNlYt-: D�.�^� <br /> At tha following location_�•�/ � }��is.ci'v ' "�•/ �4 �� D -- <br /> � SKETCH <br /> (Work to be done) <br /> SE�, r?'1Tr3G'N_<:p . <br /> � <br /> i, <br /> . <br /> ` 4�C T G'���flyrr�Z`' <br /> � / <br /> { /� �lB <br /> •r <br /> 1 <br /> �' <br /> 1� <br /> fC <br /> F <br /> '� . <br /> �1t;� <br /> �f <br /> � � DRIVEWAY SECTION The undersigned ownur hereby agrees ta hold and <br /> � NO SCALE save hermless the City o1 Everett from any and all <br /> ; --.� claims far damages that may arise because of installe• <br /> ' � tion and maintenance of tha improvement hereto <br /> f � +i" ua � opplied for and furthe�agrees to remove same upon <br /> 0 �—__�30'� notice from the�City ai to re lace pub� pe y� <br /> � ��� �� damaged t e _Y•� � � �y�K1�t. <br /> � � <br /> � uignature f App icant _ <br /> �I �� C��_ !`S ,� .S�' <br /> �i COPYOFTHISAPPLICATIONTO Address ,�v.o �,wui,�, t� ^! <br /> r . S=-:,'='-/ <br /> �� BE POSTED ON JOBSITE. Telephone Numbe� <br /> � CA�L ENGINEERING DEPT. 259-8611 � <br /> � ?� >'-/�2�---_ <br /> (� 24 HOURS BEFORE CONSTRUCTION � � � Date <br /> �� CHECKUST � � ����� � �7 � Fee � <br /> � Water vatve � �� � � �� Uept. Approvals <br /> I� Drainage /Z.f f�� • <br /> Curb&Gutter I � � Engineers <br /> I�� Sidewalk Water — <br /> ' Street _-___— <br /> i <br /> ,j Communicatfons <br /> ;�; Inspectw'sSignaturo Traffic <br /> ��'� Planning <br /> � , <br /> '' aa <br /> R�marlu <br /> Notr Ori9ind to Customer 10 9 0 3 <br /> 1 CopV to File Approred by <br /> � 1 Copy to Inspecta <br /> Date Approrsd <br /> __.._..�.........---..-,.`..._. . _ . . <br />
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